TY - JOUR A1 - Kiessling, Arndt-Holger A1 - Lehmann, Andreas A1 - Isgro, Frank A1 - Moritz, Anton T1 - Tremendous bleeding complication after vacuum-assisted sternal closure T2 - Journal of cardiothoracic surgery N2 - Vacuum-assisted closure (VAC) of complex infected wounds has recently gained popularity among various surgical specialties. The system is based on the application of negative pressure by controlled suction to the wound surface. The effectiveness of the VAC System on microcirculation and the promotion of granulation tissue proliferation are proved. In our case report we illustrate a scenario were a patient developed severe bleeding from the ascending aorta by penetration of wire fragments in the vessel. We conclude that all free particles in the sternum have to be removed completely before negative pressure is used. Y1 - 2011 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/21011 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30-90372 SN - 1749-8090 N1 - © 2011 Kiessling et al. ; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited VL - 6 IS - Art. 16 SP - 1 EP - 3 PB - BioMed Central CY - London ER -